FORT SCOTT CHIROPRACTIC LLC
NPI 1982726717
Clinic/Center - Health Service in Fort Scott, KS

NPI Status: Active since April 04, 2007

Contact Information

222 STATE ST
FORT SCOTT, KS
ZIP 66701
Phone: (620) 223-6221
Fax: (620) 223-3375

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 17D1096274
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-22-2026

About FORT SCOTT CHIROPRACTIC LLC

This page provides the complete NPI Profile along with additional information for Fort Scott Chiropractic Llc, a provider established in Fort Scott, Kansas operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1982726717 assigned on April 2007. The practitioner's primary taxonomy code is 261QH0100X with license number 01-03502 (KS). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Robert Eugene O'dell Iii Dc (Owner)

NPI
1982726717
Provider Name
FORT SCOTT CHIROPRACTIC LLC
Entity Type
Organization
Location Address
222 STATE ST FORT SCOTT, KS 66701
Location Phone
(620) 223-6221
Location Fax
(620) 223-3375
Mailing Address
PO BOX 1059 FORT SCOTT, KS 66701
Mailing Phone
(620) 223-6221
Mailing Fax
(620) 223-3375
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
09-17-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
01-03502
License State
KS

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT EUGENE O'DELL III DC

Authorized Official Title
OWNER
Authorized Official Phone
(620) 223-6221

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
T43867MEDICARE UPIN (02)KS 
660166MEDICARE PIN (08)KS 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D1096274
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 02, 2009
Certificate Expiration Date
May 22, 2026
Laboratory Director
DANIEL DIM
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Fort Scott Chiropractic Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982726717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291621421272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 4 + 2 + 1 + 2 + 7 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1982726717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982726717, enumerated in the NPI registry as an "organization" on April 04, 2007

The provider is located at 222 State St Fort Scott, Ks 66701 and the phone number is (620) 223-6221

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 17D1096274 for a "ambulatory surgery center" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on April 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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